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Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAM ELWELL JR. D.M.D. (OWNER)
(850) 651-6882
Entity
Organization
Contact information
Practice address
7 CLIFFORD DR, SHALIMAR, FL 32579-1250
(850) 651-6882
(850) 651-6692
Mailing address
7 CLIFFORD DR, SHALIMAR, FL 32579-1250
(850) 651-6882
(850) 651-6692
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0012590
FL
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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